Intelligent Surgery最新文献

{"title":"Clinical application analysis of a novel robotic system for total hysterectomy","authors":"Bingxin Han ,&nbsp;Jun Wang,&nbsp;Jing Na,&nbsp;Shichao Han,&nbsp;Ya Li","doi":"10.1016/j.isurg.2025.03.003","DOIUrl":"10.1016/j.isurg.2025.03.003","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to explore the feasibility, safety, and clinical outcomes of a novel robotic-assisted total hysterectomy using the Endoscopic Surgical Robot MT1000 (Shanghai MicroPort Medbot CO., Ltd., Shanghai China). Additionally, it seeks to standardized surgical protocols and establish the learning curve for the surgical team performing the new robotic-assisted total hysterectomy.</div></div><div><h3>Methods</h3><div>A retrospective analysis was conducted on 34 cases of robotic-assisted total hysterectomy by using the Endoscopic Surgical Robot MT1000 (novel robotic group) at the Second Affiliated Hospital of Dalian Medical University from 2022 to 2024. These cases were individually compared with 35 cases of da Vinci robotic-assisted total hysterectomy (da Vinci robotic group) and 73 cases of traditional laparoscopic total hysterectomy (traditional laparoscopic group) in pairwise comparisons, all carried out by the same surgical team during the same period. Key indicators such as surgical duration, intraoperative blood loss, and time to first flatus post-surgery were observed. Additionally, the CUSUM method was employed to analyze the learning curve for the new robotic total hysterectomy.</div></div><div><h3>Results</h3><div>The novel robotic system demonstrated significant intraoperative and postoperative differences compared to conventional laparoscopy. Specifically, the novel robotic group exhibited higher intraoperative adhesion scores (mean difference ​= ​0.65; 95% CI [0.08, 1.21]; p ​= ​0.025), reduced intraoperative blood loss (mean difference: −20.27 ​mL; 95% CI [-31.82, −8.71]; p ​&lt; ​0.001), and accelerated postoperative recovery evidenced by a shorter time to first flatus (mean difference: 9.37 ​h; 95% CI [-14.35, −4.39]; p ​&lt; ​0.001), though with prolonged operative time (mean difference ​= ​20.71 ​min; 95% CI [6.34, 35.08]; p ​= ​0.05). In contrast, comparisons between the novel robotic and da Vinci systems showed no statistically significant differences across all parameters (all p ​&gt; ​0.05). Learning curve analysis indicated that both the surgeon and the assistant reached a proficient level after completing 20 surgeries, with no significant differences in surgical metrics across various stages (p ​&gt; ​0.05).</div></div><div><h3>Conclusion</h3><div>The new robotic total hysterectomy offers significant advantages in reducing intraoperative blood loss and promoting postoperative recovery, while also maintaining lower operational costs for both the facility and patients. The surgical team can rapidly master this technology, which can also be applied for remote surgeries via 5G communication, demonstrating good safety and feasibility, and warranting clinical promotion.</div></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"8 ","pages":"Pages 35-44"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143864513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neurosurgery reimagined: How AI is redefining patient care and surgical excellence","authors":"Moustafa A. Mansour ,&nbsp;Mohamed Abdel-Fattah El-Salamoni ,&nbsp;Michael Zohney ,&nbsp;Ahmed M. Elshaer ,&nbsp;Moataz Abdelwahab ,&nbsp;Mohamed M. Aziz ,&nbsp;Basim Ayoub ,&nbsp;Hamdi Nabawi Mostafa ,&nbsp;Amr El-Samman","doi":"10.1016/j.isurg.2025.06.002","DOIUrl":"10.1016/j.isurg.2025.06.002","url":null,"abstract":"<div><h3>Objective</h3><div>To review the latest advancements in artificial intelligence (AI) applications for neurosurgery, focusing on innovations in diagnostic imaging, intraoperative assistance, predictive analytics, and postoperative care, while addressing challenges and future directions for clinical integration.</div></div><div><h3>Methods</h3><div>A comprehensive analysis of recent studies and technologies was conducted, including convolutional neural networks (CNNs), robotic-assisted systems, and AI-driven tools for imaging, surgical navigation, and predictive modeling. Key platforms such as Aidoc, Qure.ai, ROSA, and da Vinci were evaluated, alongside emerging approaches like federated learning and explainable AI (XAI).</div></div><div><h3>Results</h3><div>AI demonstrates transformative potential in neurosurgery, achieving up to 97.5% accuracy in tumor detection, 30% reduction in resection errors, and real-time molecular classification (e.g., DeepGlioma with &gt;90% accuracy). Predictive analytics optimize personalized treatments, improving glioblastoma survival rates (24.3 vs. 17.5 months). AI-enhanced rehabilitation tools (e.g., VR/wearables) and simulation-based training further elevate outcomes. However, challenges persist, including data bias, algorithmic transparency, and ethical concerns.</div></div><div><h3>Discussion</h3><div>While AI significantly enhances precision, efficiency, and accessibility in neurosurgery, its \"black box\" nature and reliance on high-quality datasets limit widespread adoption. Collaborative efforts among clinicians, engineers, and policymakers are critical to address ethical, regulatory, and technical barriers.</div></div><div><h3>Conclusion</h3><div>AI is redefining neurosurgical practice through innovations in diagnostics, robotics, and personalized medicine. Future success hinges on overcoming data and interpretability challenges while ensuring equitable, responsible implementation.</div></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"8 ","pages":"Pages 84-91"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144662347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intracorporeal anastomosis in synchronous robotic right hemicolectomy and radical distal gastrectomy: Case report and technical discussion","authors":"Tianlei Xu ,&nbsp;Botao Liu,&nbsp;Lujia Jin,&nbsp;Yuanxin Li","doi":"10.1016/j.isurg.2025.10.003","DOIUrl":"10.1016/j.isurg.2025.10.003","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the feasibility and effectiveness of fully robotic-assisted synchronous resection for gastric and ascending colon malignancies.</div></div><div><h3>Methods</h3><div>An 83-year-old patient underwent robotic-assisted radical distal gastrectomy with Roux-en-Y gastrojejunostomy and right hemicolectomy using the Da Vinci Xi system with intracorporeal anastomosis.</div></div><div><h3>Results</h3><div>The patient had a rapid postoperative recovery with early mobilization, flatus on postoperative day two, resumed full enteral nutrition on day five, and discharged on day eight without complications.</div></div><div><h3>Conclusions</h3><div>Fully robotic surgery provided precise dissection, effective reconstruction, and minimal trauma, demonstrating safety and efficacy in elderly patients with synchronous gastrointestinal malignancies.</div></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"8 ","pages":"Pages 130-134"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145519373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical trial on 15 cases of gynecological surgeries using the Cornerstone laparoscopic robotic surgical system","authors":"Nan Wang ,&nbsp;Li'an Li ,&nbsp;Mingxia Ye ,&nbsp;Zhifeng Yan ,&nbsp;Mingxia Li ,&nbsp;Nina Zhang ,&nbsp;Mingyang Wang ,&nbsp;Yuanguang Meng","doi":"10.1016/j.isurg.2025.04.001","DOIUrl":"10.1016/j.isurg.2025.04.001","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the efficacy and safety of a Chinese robotic surgical system in complex gynecological surgeries.</div></div><div><h3>Methods</h3><div>Fifteen patients with cervical cancer and endometrial cancer who received treatment with a laparoscopic robotic surgical system at the First Medical Center of the PLA General Hospital between June and August 2024 were selected as study subjects. The surgical instrument used was the Cornerstone laparoscopic robotic surgical system (Model: C1000 system) from Shenzhen Cornerstone Technology Co., Ltd. (China). The primary surgical procedures included radical hysterectomy with pelvic lymphadenectomy, with or without para-aortic lymphadenectomy.</div></div><div><h3>Results</h3><div>A total of 15 patients were included, with a mean age of 50.80 ​± ​9.21 years and a mean BMI of 24.80 ​± ​2.23 ​kg/m². Diagnoses included eight cases of cervical squamous cell carcinoma, three cases of cervical adenocarcinoma, and four cases of endometrioid carcinoma; three patients received neoadjuvant chemotherapy. Intraoperative blood loss averaged 116.67 ​± ​102.93 ​mL, and the mean operative time was 153.47 ​± ​24.57 ​min. All surgeries were successfully completed without conversion to open surgery or the need for blood transfusion. The mean postoperative pain score was 3.53 ​± ​1.81, and the average length of hospital stay was 10.73 ​± ​4.53 days. All cases had negative surgical margins, achieving a 100% rate of negative resection margins. Complications occurred in two cases (13.3%), both involving ureteral injury. The evaluation of system functionality and performance scored 91.93 ​± ​3.06, operator satisfaction scored 92.93 ​± ​3.10, assistant satisfaction scored 93.40 ​± ​3.07, and the overall evaluation scored 92.74 ​± ​2.27. All cases received excellent satisfaction ratings.</div></div><div><h3>Conclusion</h3><div>This single-arm cohort study on robot-assisted surgery demonstrated the precision and stability of the Chinese robotic surgical system in performing complex gynecological procedures. However, further improvements are needed in the overall stability of the system's control and in reducing acquisition and maintenance costs to enable more patients to benefit from this technology.</div></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"8 ","pages":"Pages 29-34"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143859129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Remote robot-assisted day surgery for liver: A report of 2 cases","authors":"Zhenqi Li ,&nbsp;Xiuping Zhang ,&nbsp;Zhaohai Wang ,&nbsp;Yuyao Song,&nbsp;Lichao Pan,&nbsp;Rong Liu","doi":"10.1016/j.isurg.2025.07.002","DOIUrl":"10.1016/j.isurg.2025.07.002","url":null,"abstract":"<div><h3>Objective</h3><div>To report for the first time the experience of hepatectomy through remote robot-assisted day surgery and comment on the safety and feasibility of this surgical mode.</div></div><div><h3>Method</h3><div>Two patients underwent remote robot-assisted day surgery for liver conditions at the First Medical Center of the Chinese People's Liberation Army (PLA) General Hospital on October 17, 2024. The perioperative management process and conditions of these two patients were described.</div></div><div><h3>Results</h3><div>Both patients underwent successful remote robot-assisted liver day surgery. The total length of surgery was 121 min and 102 min for the two patients, with master-slave control times of 66 min and 41 min, respectively. The surgery and intraoperative imaging were smooth, with a maximum delay of 56 ​ms and a packet loss rate of 0%. The volume of intraoperative estimated blood loss was 20 mL for both patients. Surgery was completed successfully and both patients were discharged within 24 h.</div></div><div><h3>Conclusion</h3><div>This study preliminarily confirms the safety and efficacy of remote robot-assisted day surgery for liver diseases, providing a new clinical practice direction for the future development of liver surgery.</div></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"8 ","pages":"Pages 92-97"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144714076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Robot-assisted versus transumbilical laparoendoscopic single-site surgery in gynecological procedures: A retrospective comparative analysis of efficacy","authors":"Jiahui Zhao ,&nbsp;Yuan Liao ,&nbsp;Juyuan Huang ,&nbsp;Jing Cheng ,&nbsp;Jiaqiang Xiong ,&nbsp;Jing Liao ,&nbsp;Wei Zhang","doi":"10.1016/j.isurg.2025.07.001","DOIUrl":"10.1016/j.isurg.2025.07.001","url":null,"abstract":"<div><h3>Objective</h3><div>To compare perioperative outcomes between R-LESS and TU-LESS in gynecological transabdominal procedures.</div></div><div><h3>Methods</h3><div>A retrospective analysis was conducted on gynecological patients undergone surgery at our institution from January 2020 to December 2024. Cases were stratified into R-LESS (n ​= ​725) and TU-LESS (n ​= ​848) groups, encompassing six surgery types, including total hysterectomy, uterine fibroid resection, ovarian cyst enucleation, ect. Comparative parameters included baseline characteristics, perioperative metrics (duration of surgery, intraoperative blood loss, ect.), and postoperative recovery and laboratory indicators (length of hospital stay, abdominal drain removal time, ect.).</div></div><div><h3>Results</h3><div>In total hysterectomy procedures, the R-LESS group demonstrated significantly lower intraoperative fluid replacement (P&lt;0.001) and reduced blood loss (P ​= ​0.013) compared to the TU-LESS group for benign diseases, albeit with prolonged abdominal drain removal time (P&lt;0.001). For malignant diseases, the R-LESS group exhibited superior intraoperative hemostasis (P ​= ​0.047) and fluid management (P ​= ​0.01), accompanied by more pronounced postoperative WBC elevation (P ​= ​0.009). In uterine fibroid resection, the R-LESS group showed advantages in intraoperative blood loss (P&lt;0.001), intraoperative fluid replacement (P&lt;0.001), and postoperative VAS scores (P ​= ​0.022), as well as in the magnitude of Hb reduction on the first postoperative day (P ​= ​0.003). Simultaneously, it shortened the abdominal drain removal time (P ​= ​0.043), but exhibited a greater WBC elevation magnitude (P ​= ​0.001). Significantly reduced blood loss was observed in R-LESS groups for ovarian cyst resection and combined uterine fibroid and ovarian cyst resection (P&lt;0.05). No statistical differences were noted in ICU admission rates or severe complication incidences between groups (P ​&gt; ​0.05).</div></div><div><h3>Conclusion</h3><div>R-LESS exhibits precision advantages in complex procedures (malignancy lymphadenectomy, deep ovarian cyst enucleation), particularly for high-risk cases requiring meticulous manipulation. TU-LESS retains clinical value in simpler surgeries (unilateral/bilateral adnexectomy, salpingectomy) due to procedural efficiency and cost-effectiveness. Future efforts should focus on optimizing R-LESS workflows to expedite recovery and refine surgery-specific selection criteria.</div></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"8 ","pages":"Pages 76-83"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144631362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recent advancements of artificial intelligence in minimally invasive surgery for endometriosis","authors":"Ting Zhao ,&nbsp;Yuhong Liu ,&nbsp;Zhiyun Wei ,&nbsp;Xiaofang Yi","doi":"10.1016/j.isurg.2025.10.001","DOIUrl":"10.1016/j.isurg.2025.10.001","url":null,"abstract":"<div><div>The integration of artificial intelligence (AI) into minimally invasive surgery (MIS) for endometriosis represents a transformative advancement in clinical practice, with the potential to improve preoperative diagnosis, intraoperative guidance, and postoperative outcomes. This review synthesizes recent literature to evaluate the applications of AI across various domains including imaging modalities, biomarker interpretation, and surgical navigation etc. The performance of machine learning (ML) and deep learning (DL) algorithms has been assessed. Notably, AI-augmented imaging techniques, in particular, significantly improved the detection of ovarian endometriomas, achieving an area under the curve (AUC) of up to 0.997, while deep endometriosis detection yielded AUC values of 0.800–0.878. Beyond diagnosis, AI demonstrates promise in enhancing surgical precision through real-time lesion recognition and identification of critical anatomical structures. Nevertheless, the development of fully or semi-automated surgical procedures is still in the conceptual validation stage and remains a long-term goal for future investigations. Current findings suggest that AI could substantially enhance both diagnostic and therapeutic outcomes in MIS for endometriosis, although most studies remain at proof-of-concept stages and challenges exist. Future research should prioritize multicenter prospective trials with external validation to ensure reproducibility and generalizability across diverse populations and clinical settings.</div></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"8 ","pages":"Pages 118-124"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145361856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Safety and feasibility evaluation of a novel robotic surgical system in gynecological surgery application","authors":"Yuanbo Tao ,&nbsp;Jun Wang,&nbsp;ShiChao Han,&nbsp;Jing Na,&nbsp;Ya Li","doi":"10.1016/j.isurg.2024.12.002","DOIUrl":"10.1016/j.isurg.2024.12.002","url":null,"abstract":"<div><h3>Objective</h3><div>The study explores the safety, feasibility, and clinical application value of a novel robotic surgical system which is the Endoscopic Surgical Robot MT1000 (Shanghai MicroPort Medbot Co., Ltd., Shanghai, China) in gynecological surgeries. It aims to preliminarily establish a standardized process for the application of the novel robotic surgical system in gynecological procedures and analyze the learning curve associated with the docking technology of the novel robotic surgical system.</div></div><div><h3>Methods</h3><div>This study conducts a retrospective analysis of the clinical data and recent outcomes of 82 patients who underwent the novel robotic-assisted laparoscopic gynecological surgeries by using the Endoscopic Surgical Robot MT1000 at the Gynecology Department of Dalian Medical University Second Affiliated Hospital from September 2022 to December 2023. It also compares the basic data and perioperative indicators of these patients with those of 82 patients who received da Vinci Si robotic-assisted laparoscopic gynecological surgeries during the same period. The cumulative summation (CUSUM) method is employed to analyze the learning curve associated with the docking technology of the novel robotic surgical system.</div></div><div><h3>Results</h3><div>In this study, all 82 cases of the novel robotic surgery were successfully completed without any conversions to open surgery. The average surgical time was (134.15 ​± ​82.44) min, the average intraoperative blood loss was (29.16 ​± ​29.35) mL, the average time for postoperative bowel motility recovery was (27.0 ​± ​11.5) h, and the average hospital stay after surgery was (3.1 ​± ​1.3) d. There were no statistically significant differences (P ​&gt; ​0.05) in surgical time, the difference in hemoglobin levels before and after surgery, the time of first flatus after surgery, the duration of indwelling catheter, the duration of indwelling drainage tube, and drainage volume at 48 and 72 ​h postoperatively between the two groups. However, there were statistically significant differences in intraoperative blood loss and length of stay after surgery (P ​&lt; ​0.05). The CUSUM learning curve analysis indicated that the surgical team in the operating room became proficient in the docking technology of the novel robotic surgical system by the 34th case, while the bedside assistant mastered it by the 32nd case, achieving overall proficiency by the 33rd case.</div></div><div><h3>Conclusion</h3><div>The novel surgical robot MT1000 is safe and feasible for application in the field of gynecology, demonstrating clinical applicability comparable to the da Vinci Si robotic system. Establishing standardized procedures can reduce preoperative preparation time and shorten the learning curve for the docking technology of the novel robotic surgical system. There is significant potential for the application of the novel robotic surgical system in China.</div></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"7 ","pages":"Pages 105-112"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143148483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Robotic surgery in gastrointestinal surgery: History, current status, and challenges","authors":"Yu Liu ,&nbsp;Qingyang Feng ,&nbsp;Jianmin Xu","doi":"10.1016/j.isurg.2024.12.001","DOIUrl":"10.1016/j.isurg.2024.12.001","url":null,"abstract":"<div><div>Robotic surgery has been a part of clinical practice for over 30 years, and in recent years, the continuous emergence of new robotic platforms and technologies has brought about both changes and challenges in the field of gastrointestinal surgery,. providing the possibility for more precise surgery and smaller trauma. The publication of high-quality clinical studies gradually confirms the advantages of robotic surgery in gastrointestinal surgery. Especially in the field of colorectal cancer, the publication of research such as REAL has confirmed that robotic radical resection for rectal cancer has better short-term outcomes than laparoscopy. Although robotic surgery still faces some challenges, such as economic costs and learning curves, the future prospects of robotic technology in colorectal surgery are highly promising.</div></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"7 ","pages":"Pages 101-104"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143148477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The application of robotic transanal minimally invasive surgery in rectal surgery","authors":"Guodong Xiao,&nbsp;Bin Huang,&nbsp;Zhengyong Liu,&nbsp;Chunxue Li,&nbsp;Weidong Tong","doi":"10.1016/j.isurg.2024.11.001","DOIUrl":"10.1016/j.isurg.2024.11.001","url":null,"abstract":"<div><div>With its superior ergonomic design, high-definition three-dimensional visual field, mechanical arms that transcend human wrist mobility, and ability to eliminate hand tremors caused by surgeon fatigue, the robotic surgical system introduces unparalleled precision and adaptability into intricate surgical procedures within confined areas, particularly the anorectal region. This makes it a strong competitor to laparoscopic-assisted, minimally invasive transanal surgery. The application of robotic surgery has been successfully demonstrated in the resection of complex rectal tumors, total rectal mesentery resection, and fistula repair. These procedures have resulted in notable improvements in surgical precision, safety, and patients' postoperative quality of life. Despite the continued presence of challenges, including prolonged operation time and high cost, the long-term benefits and positive impact on patients' quality of life have become increasingly evident. This article presents a comprehensive overview of the development of robotic-assisted minimally invasive transanal surgery, its evolving application, and the remaining controversies surrounding its use.</div></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"7 ","pages":"Pages 90-94"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142744930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}